What s New Notes 16.07.12 Maintenance Release September 16, 2016 Technical Installation Information These release notes describe version 16.07.12 of the LTC product from American HealthTech, Inc. This version supersedes LTC Version 16.03.12. Read all release notes and instructions before beginning any installation or upgrade. A complete release note library is available at the American HealthTech website: http://myhealthtech.net/whatsnew.php Please ensure you are running the most current version of CorePoint, LTCCorePointInstall_16.07.12.exe. If you find you are running an older version, please download the current version from MyHealthTech Technical Center at: http://myhealthtech.net/downloads.php. The CorePoint version must be compatible with the LTC Software version and the updates must be run together to keep both programs in sync and functioning properly.
Table of Contents September General Release 16.07.12... 3 Regulatory Items... 3 MDS Changes effective October 1, 2016... 3 Item Set and Legal Notice... 3 MDS Assessment Changes... 3 Section A... 4 Section C... 6 Section GG... 9 Section M... 14 Section N... 15 Section S... 16 Section V... 19 Section X... 19 Edits and Allowable Answer changes... 20 Quality Measures... 25 Enhancement Item... 26 Billing... 26 Maintenance Items... 27 Clinical... 27 Resident Information... 28 Billing... 28 Payroll Based Journal (PBJ)... 30 Outcomes... 31 Interoperability... 31 Known Issues... 33 Coming Soon... 34 Additional Education Resources... 34 APPENDIX A... 35 Page 2 of 37
September General Release 16.07.12 Regulatory Items MDS Changes effective October 1, 2016 Item Set and Legal Notice The following item set and version code changes have been made to the MDS assessment with an ARD equal to or greater than 10/1/2016: 1. Item Set version code will display as follows: Version 1.14.1 Effective 10/01/2016. 2. Specifications version code has been changed to 2.00. Note: The transmission file will also reflect the updated Item Set and Specifications version codes. The Legal Notice (Copyright) displayed at the end of the MDS has been updated to the following: Legal Notice Regarding MDS 3.0 - Copyright 2011 United States of America and interrai. This work may be freely used and distributed solely within the United States. Portions of the MDS 3.0 are under separate copyright protections; Pfizer Inc. holds the copyright for the PHQ-9 and 1988, 2003; Confusion Assessment Method. 1988, 2003, Hospital Elder Life Program. All rights reserved. Adapted from: Inouye SK et al. Ann Intern Med. 1990; 113:941-8. Both Pfizer Inc. and the Hospital Elder Life Program, LLC have granted permission to freely use these instruments in association with the MDS 3.0. MDS Assessment Changes NPE Assessment Type new New assessment type, NPE, a nursing home, PPS Part A, end of stay assessment, is required for residents ending a Part A stay. The calculate RUGs link, Calculate RUGS menu item in tool bar, RUG Analysis Worksheet, and RUG Analysis menu item (RUGS Analysis Report does not use NPE assessment for a prior closed assessment.) are not enabled for this assessment type. The ARD Optimizer is disabled for standalone NPE assessments. NPE assessments are excluded from 7 Day Look-back. The Change of Therapy (COT) scheduler allows for combined NPE assessments. Page 3 of 37
Section A A new question has been added to identify an MDS as a SNF PPS Part A Discharge (End of Stay) assessment. The question is present on the Add New Assessment screen, Section A, Correction Request Screen, and Section X. Add New Assessment screen Question H field is enabled for assessments with ARD date => 10/1/2016. If yes is selected, a 1 will populate to Question A0310H during assessment creation. Last Day of THIS Medicare Stay, date field, is visible and entry required if Yes is answered for question H. The date entered will populate to A2400C during assessment creation. Figure 1: Add New Assessment grid Page 4 of 37
If Unplanned is selected for Question G and Question H is answered as Yes, a validation message will prompt alerting An End of Stay Assessment is not allowed with an Unplanned Discharge". MDS Section A Figure 2: Validation Error Message Assessment Profile box has been updated with Question A0310H. Question A0310H has been added. Figure 3: MDS Section A0310 Page 5 of 37
Question A0310H has also been included in the following locations: Figure 4: RUG Calculation grid Assessment History Report has been updated to reflect the A0310H value. Figure 5: Assessment History Report Notes: 1. If Question A0310H = 1 on an imported or keyed assessment, the assessment type will display an E denoted at the end (ex. AM5 will display as AM5E) except for NPE assessments. 2. MDS Question A0310H will not pre-populate or re-populate. 3. The ARD Optimization process will not include Question A0310H in the question grouping. Section C The following items and/or instructions have been updated: Page 6 of 37
Question C1300 and C1600 have been removed and replaced with question C1310A-D. CAMS Copyright Information has been updated in the MDS Manager (bottom) and assessments previewed and printed to the following: Confusion Assessment Method. 1988, 2003, Hospital Elder Life Program. All rights reserved. Adapted from: Inouye SK et al. Ann Intern Med. 1990; 113:941-8. Used with permission. Note: Changes will not alter RUGs or Quality Measures. The following locations have been updated with Question C1310: CAT (Care Area Assessment) Worksheet CAT Worksheet checkboxes have been updated accordingly to reflect C1310 or C1310A-D instead of C1300 or C1600 as it relates to checkbox triggers. Also, the trigger formula for Question C1310 will display when the ARD date is => 10/1/2016 when include triggered CAT Worksheets is selected. Smart Charting Questions C1300 & C1600 have been retired and C1310A-D added (C1310A does not require a DC question). MDS 3.0 Question Scheduling Assessment Question Preference has been updated with new Section C questions: C1310B_DC, C1310C_DC, and C1310D_DC. They are displayed when Schedule Type = QSQD7 is selected in Available MDS Questions list. Page 7 of 37
Smart Charting > Setup > Facility Preferences > MDS 3.0 > Select New/Edit icon, Schedule Type > QSQD7 C0500 Label Change: Summary Score to BIMS Summary Score C0600 Value 0 and 1 Wording Change: Page 8 of 37
C0900F Value D Wording Change: Section GG Due to the IMPACT Act, CMS has introduced new data element, Section GG, effective October 1, 2016. Section GG focuses on the resident s functional abilities and goals; assessing the resident s admission performance, discharge goals and performance at time of discharge. Section GG is relevant for residents admitted into a skilled facility. Section GG is completed at the time of admission and discharge. The MDS contains Section GG Functional Abilities and Goals Admission (Start of SNF PPS Stay) and Discharge (End of SNF PPS Stay). Page 9 of 37
Section GG: Observation Period: Admission: The look-back period is days 1-3 of the resident s stay beginning with the date in A2400B and completed on the 5-day assessment. Figure 1: Section GG (Start of SNF PPS Stay) Snippet Page 10 of 37
Discharge: The look-back period is the last 3 days of the SNF PPS Stay. Figure 2: Section GG (End of SNF PPS Stay) Snippet Page 11 of 37
Re-populate MDS 3.0 Answers GG checkbox has been added for selection in Re-Populate MDS 3.0 Answers. GG (Start of SNF PPS Stay) and (End of SNF PPS Stay) information will re-populate. Reports The following reports will contain Section GG information and the selection ability as an option for selection criteria. 1. Clinical Trends Report Note: GG information will display on the report after the completion of 2 or more assessments containing GG data. 2. Assessment Mix Report Fixed Care Plans Questions have been loaded to the following Care Plan Conditions for ALL Stock Set Care Page 12 of 37
Plans. Questions must be assigned to existing Fixed Care Plans or newly created Fixed Care Plans. I Centered Resident Centered Proper Name Basic User Defined Assessments (UDAs) Assessments do not come pre-loaded for UDAs, questions must be built. Please see LTC Help Menu for additional information on How to create UDAs. Security Rights Security rights have been added to security setup for Section GG. Users will have the same access to Section GG as their current access to Section G. Page 13 of 37
Section M Note: Section GG will not pre-populate information to MDS assessments from prior MDSs, but information entered on UDAs and in Smart Charting will populate to the assessments. The ability to re-populate Section GG information has been added to the MDS Assessment Manager > Tools option. See Additional Education Resources regarding IMPACT Act and Section GG The following items and/or instructions have been updated: Section M0300 Item added: Question 2 has been added to all of the following Sections: M0300B, M0300C, M0300D, M0300E, M0300F, and M0300G. Skip instructions have been added to Question 1 of each of the following: M0300B, M0300C2, M0300D2, M0300E2, M0300F2, and M0300G2. Page 14 of 37
M0300G Title Change: Unstageable - Deep tissue to Unstageable - Deep tissue injury M1040H Wording Change: i.e. incontinence (IAD) to e.g., incontinence-associated dermatitis (IAD). Section N The following items and/or instructions have been updated: N0410 Instruction Change: Indicate the number of DAYS the resident received the following medications during the last 7 days to Indicate the number of DAYS the resident received the following medications by pharmacological classification, not how it is used, during the last 7 days or since admission/entry or reentry if less than 7 days. Page 15 of 37
Section N Cont. N0410E Wording Change: warfarin to e.g., warfarin Section Q The following items and/or instructions have been updated: Q0490 Q0550B Value Removed: 8. Information not available Value Replaced: 8. No Information source available has been removed and replaced with 9. None of the above Section S - The following items and/or instructions have been updated, state specific: Florida Only S0509 Question S0510 has been replaced with S0509 S0511 Label and Question Text Change: Label - PASRR Level I Complete Date Question Text - Record PASRR Level I Completion Date Page 16 of 37
S1002 New Question: S1003 New Question: S6201 New Question: S6211 New Question: The following questions have been retired for the state of Florida: S1000, S1001, S6200 and S6210 Illinois Only S1004 New Question: S1150 New Question: Page 17 of 37
S3310 New Question: S3315 New Question: S6052 S6053 S6232 S6234 Page 18 of 37
S6236 Virginia Only S9100C Value Added: The caret [^] is an allowed item value. Section V The following items and/or instructions have been updated: V0100 Instruction change: A0310B = 01-06 to A0310B = 01-05 V0100B Removed Value: 06. Readmission/return assessment Section X The following items and/or instructions have been updated: X0600 New Item Added: X0600H South Dakota Only The following Sections are no longer required for quarterly assessments: 1. Question A1500 2. Question A1510 3. Section F 4. Question G0900 5. Section V Page 19 of 37
Section Edit Changes C1310A B0100 and C1310A through C1310D Edit 3609 Skip pattern removed from C1300A, C1300B, C1300C and C1600 and mapped to C1310A, C1310B, C1310C, and C1310D Edit 3609 Skip pattern Fatal If B0100 = 1, then all active items from B0200 through F0800 must equal. Edit 3830 Skip pattern has been removed (C1300A through C1600 were deleted), but will still fire for older assessments prior to 10/1/2016. Allowable Answers (value): The dash and caret [- and ^] to item values Section GG Edit 3862 Skip pattern Fatal a) If B0100 = (0), then all active items from C1310A through C1310D must not be equal (^) b) If B0100 = (-), then all active items from C1310A through C1310D must equal (-). Edit 3863 Consistency Warning If A0310B = [01], then at least one of the Discharge Goal items (GG0130A2, GG0130B2, GG0130C2, GG0170B2, GG0170C2, GG0170D2, GG0170E2, GG0170F2, GG0170J2, GG0170K2, GG0170R2, GG0170S2) should be equal to [01, 02, 03, 04, 05, 06]. Edit 3864 Consistency Fatal If GG0170H1=[-], then GG0170J1 and GG0170K1 must all be equal to [-]. Edit 3865 Consistency Fatal If GG0170H3=[-], then GG0170J3 and GG0170K3 must both be equal to [-]. Page 20 of 37
Section GG Continued Edit 3866 Consistency Fatal If GG0170Q1=[-], then the following items must be equal to [-]: GG0170R1, GG0170R2, GG0170RR1, GG0170S1, GG0170S2, GG0170SS1. Edit 3867 Consistency Fatal a) If GG0170Q3=[0], then the following items must be equal to [^]: GG0170R3, GG0170RR3, GG0170S3, GG0170SS3. b) If GG0170Q3=[1], then the following items must be equal to [^]: GG0170R3, GG0170RR3, GG0170S3, GG0170SS3. c) If GG0170Q3=[0], then the following items must be equal to [-]: GG0170R3, GG0170RR3, GG0170S3, GG0170SS3. Edit 3868 Consistency Fatal a) If GG0170H1=[0], then the following items must be equal to [^]: GG0170J1, GG0170J2, GG0170K1, GG0170K2. b) If GG0170H1=[1], then items GG0170J1 and GG0170K1 must be equal to [^], and items GG0170J2 and GG0170K2 must not be equal to (^). c) If GG0170H1=[2], then the following items must not be equal to [^]: GG0170J1, GG0170J2, GG0170K1, GG0170K2. Edit 3869 Consistency Fatal a) If GG0170Q1=[0], then the following items must be equal to [^]: GG0170R1, GG0170R2, GG0170RR1, GG0170S1, GG0170S2, GG0170SS1. b) If GG0170Q1=[1], then the following items must not be equal to [^]: GG0170R1, GG0170R2, GG0170RR1, GG0170S1, GG0170S2, GG0170SS1. Page 21 of 37
Section GG Continued Edit 3870 Consistency Fatal a) If GG0170H3=[0], then GG0170J3 and GG0170K3 must be equal to [^]. b) If GG0170H3=[2], then GG0170J3 and GG0170K3 must not be equal to [^]. Valid on NC, NQ, NP, NSD, NOD, ND, SP, SSD, SOD, SD, NPE assessment types with ARDs => 10/1/2016. Edit 3871 Skip pattern Fatal a) If A0310B=[01], then the following items must not be equal to [^]: GG0130A1, GG0130A2, GG0130B1, GG0130B2, GG0130C1, GG0130C2. b) If A0310B=[02,03,04,05,07,99], then the following items must be equal to [^]: GG0130A1, GG0130A2, GG0130B1, GG0130B2, GG0130C1, GG0130C2. Edit 3872 Skip pattern Fatal a) If A0310G=[1,^] and A0310H=[1] and A2400C - A2400B is greater than 2 and A2100=[01,02,04,05,06,07,08,09,99,^], then GG0130A3, GG0130B3, and GG0130C3 must not be equal to [^]. b) If A0310G=[2] or A0310H=[0] or A2400C - A2400B is less than or equal to 2 or A2100=[03], then GG0130A3, GG0130B3, and GG0130C3 must be equal to [^]. Edit 3873 Skip pattern Fatal a) If A0310B=[01], then the following items must not be equal to [^]: GG0170B1, GG0170B2, GG0170C1, GG0170C2, GG070D1, GG070D2, GG0170E1, GG0170E2, GG0170F1, GG0170F2, GG0170H1, GG0170Q1 b) If A0310B=[02,03,04,05,07,99], then the Page 22 of 37
Section GG Continued Section A following items must be equal to [^]: GG0170B1, GG0170B2, GG0170C1, GG0170C2, GG070D1, GG070D2, GG0170E1, GG0170E2, GG0170F1, GG0170F2, GG0170H1, GG0170J1, GG0170J2, GG0170K1, GG0170K2, GG0170Q1, GG0170R1, GG0170R2, GG017RR1, GG0170S1, GG0170S2, GG0170SS1 Edit 3874 Skip pattern Fatal skip a) If A0310G=[1,^] and A0310H=[1] and A2400C - A2400B is greater than 2 and A2100=[01,02,04,05,06,07,08,09,99,^], then the following items must not be equal to [^]: GG0170B3, GG0170C3, GG0170D3, GG0170E3, GG0170F3, GG0170H3, GG0170Q3. b) If A0310G=[2] or A0310H=[0] or A2400C - A2400B is less than or equal to 2 or A2100=[03], then the following items must be equal to [^]: GG0170B3, GG0170C3, GG0170D3, GG0170E3, GG0170F3, GG0170H3, GG0170J3, GG0170K3, GG0170Q3, GG0170R3, GG0170RR3, GG0170S3, GG0170SS3. Edit 3877 Consistency Fatal Error will occur upon Section A complete to ensure Section GG discharge items are completed on a physical discharge the day SNF Part A ends or day after if the following is not met: IF (A0310F = 10 or 11) AND ((A2400C = A2000) OR (A2000 - A2400C = 1)) THEN A0310H must be equal to 1. Edit 3875 Consistency Fatal If A0310H=[1], then A2400C must not equal [--- -----,^] Page 23 of 37
Section A Continued Edit 3876 Consistency Fatal a) If A0200=[1] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05]) and A0310F=[99] and A0310H=[1], then A2300 must be equal to A2400C b) If A0200=[2] and A0310B=[01,02,03,04,05] and A0310F=[99] and A0310H=[1], then A2300 must be equal to A2400C. a) If A0310F=[10,11] and A0310H=[1], then ((A2400C = A2000) or (A2000 A2400C = 1)). Edit 3608 (Modified) a) If A0200=[1] (this is a nursing home record) and A0310E is equal to [1], then A0310A must equal [01,02,03,04,05,06] OR A0310B must equal [01,02,03,04,05,06] OR A0310F must equal [10,11]. b) If A0200=[2] (this is a swing bed record) and A0310E is equal to [1], then A0310B must equal [01,02,03,04,05,06] OR A0310F must equal [10,11]. Valid in Create New Assessment/Change Reason and Correction Request > Change reason of assessment option. Fields are blanked out until a valid combination is entered. MDS Quick Tip: MDS assessments with an ARD of 10/1/2016 or later should not be opened until LTC General Release Version 16.7.12 has been installed. Any MDS assessments that were opened prior to this installation with an ARD on or after 10/1/2016 should be deleted. Page 24 of 37
Quality Measures New Quality Measures (QM) implemented for 2016: Short Stay Quality Measure (QM) Measure ID: N037.01 Percent of Residents Who Improved Performance on Transfer, Locomotion, and Walking in the Corridor. Long Stay Quality Measure (QM) Measure ID: N036.01 Prevalence of antianxiety or hypnotic medication use (long stay) during the target period. Long Stay Quality Measure (QM) Measure ID: N035.01 Percent of long-stay residents who experienced a decline in independence of locomotion during the target period. Retired Quality Measures effective 10/1/2016: Long Stay QM - N025.01 Percent of long-stay residents with low risk of losing control of their bowel or bladder. Long Stay QM - N030.01 Percentage of long-stay residents who have had symptoms of depression during the 2-week period preceding the MDS 3.0 target assessment date. Notes: 1. Retired QMs will populate to Quality Assurance Measure worksheets when ARD date is =< 10/1/2016. 2. Closed assessments will display new quality measures on Quality Measure Worksheet for dates => 4/1/2016. The following locations will be affected by newly implemented measures: Clinical - Quality Measure Worksheet Quality Measure Reports - Quality Measure Reports (Resident Level and Facility Measure Report) Corporate Office - Corporate Office reports > Comp Quality Measures (CMS) (Quality Measure Numerators, Denominators, Percentages) Page 25 of 37
Enhancement Item Billing Manual entry of Medicare rates is no longer needed. The system will make the necessary calculations for each state s Medicare rates based upon the selection of Rural or Urban Case Mix type in AR Type Rates setup. The implemented feature alleviates the manual entry process preventing data keying errors. After selecting New to create a new table or update an existing table, the following grid will display: Billing > Setup > Case Mix Rates Select the Unique Table ID, Effective Date and RUGS Type Medicare Select the facility s Case Mix Type Urban or Rural. If Urban is selected, the Urban Area field is enabled. A View Counties tab has been added that will list the counties associated with the Urban Area selection. Page 26 of 37
Select Ok and Save Maintenance Items Clinical IV Version 1.0 Myers Stauffer 57 (Hierarchy) has been added as an option for Medicaid RUG Version Case Mix. It has been implemented for the state of Ohio, but applies to all customers. Mississippi RUGs will calculate based on distinct days instead of total days using Myers and Stauffer s software calculation for MDS RUGS IV Version Myers Stauffer 48 (Index). Reimbursement rates are not affected by the calculation only the CMI Points are overstated due to overstating the RUG (a very small percentage). Scheduled Care Task List Assistance Legend has been updated with the following wording matching the MDS/RAI manual: TF = Tube Feeder has been removed No. 8 has been updated, Activity did not occur or family and/or non-facility staff provided care New Signature and date in Question X1100D is now overwriting prior signature and date when an assessment modification is completed. Page 27 of 37
The correct value is being updated and displayed for an MDS correction (ex. second MDS correction will populate 02). The ability to edit X0800 for MDS corrections and re-opening an MDS is allowed. Signatures (person importing MDS) are not being entered/assigned when MDS is imported for the following fields, Z0400, Z0500a, v0200b, and v0200c. The fields are now left blank. A dash is assigned to Question A1100B (as required by CMS) when a dash has been entered for Question A1100A Language. The Wound assessment transmission file contains the correct wound measurement entered on the assessment. The measurements are no longer rounded up or down, but the actual entry value will display (ex. 1.3 will display instead of 1). An inactivated COT is now displaying an XX in the MDS transmit grid instead of COT OMRA. The company name, American Healthtech, will no longer appear in the MDS transmission file sent to CMS. It will be replaced with a caret (^) symbol. The replacement symbol will not interfere with transmission or acceptance of file. Resident Information Billing Resident Status Changes, Case Mix Groups will only display State and Other CMG Tables that have the assigned RUG type in Case Mix Rate Setup. Ancillary charges incurred on resident s discharge date will be assigned Type of Bill (TOB), third digit of 3 instead of not assigning a 3 rd digit,tob classifying resident as outpatient. Partial Benefit Exhaust claims default Rug (AA000) will now pull after the RUG scores on the 837 electronic file for submission. Printed claims currently position the RUG scores before the default RUG score. Page 28 of 37
Therapies transferred from Ancillary Tracking or entered manually are calculating when an Insurance Plan which includes ancillaries that contain either a Revenue Code Override or HCPC Override with a Dollar per Discipline per Day maximum amount and/or co-insurance is present. Note: Fix doesn t include therapies entered via Ancillary Batch Entry or imported using ICI. Ancillary charges calculations whose rates were imported from a Fee Schedule that contains a markup or markdown rate will round calculations to 2 decimal places alleviating penny balances. The fee table will need to be re-imported to recalculate charges and remove penny balances. If manual adjustments were made, the effective date of the re-imported table should be the current LTC month. Important Note: There must not be any pending charges in the Adjustment Wizard when reimporting fee table allowing system to make adjustments to prior months. Resident s resource is prorated on claim when auto-populate value code 23 is selected for Fiscal Intermediary. The proration will occur based on the below guidelines: Claim covers entire month, entire Share of Cost will populate Claim covers a portion of the month a. If the facility s per diem multiplied by the number of days on the claim is less than the share of cost, display share of cost (FL39) equal the facility per diem by the number of days on the claim. b. If the facility s per diem multiplied by the number of days on the claim is greater than the share of cost, display entire share of cost (FL39). All claims created afterwards will use same calculation until share of cost is depleted. a. The following claim preference was added to prevent value code 23 from populating to the claim when the Share of Cost has been reached: Page 29 of 37
Billing > Setup > FI/Insurance Carriers > Select FI, Claim Setup button and Claim Type All Institutional Payroll Based Journal (PBJ) An employee record will not be submitted to CMS if a submission file contains a corrected hire date and the file has been previously submitted with a hire and termination date included. A message will prompt notifying submitter: This hire date correction won t be submitted to CMS because the termination date has already been submitted. An error message will not display when Job Title and Pay Type is being edited to the same as a default entry. Message will only display in add mode (not edit mode). Error message: Column cono, federal_fiscal_year, federal_fiscal_quarter, week_within_quarter, emp_id, job_title_code, pay_type_code is constrained to be unique. Page 30 of 37
Outcomes The following categories are included when the Outcomes report contains the measure, Admit/Discharged back to Hospital < 30 days with DX : See Appendix A for ICD-10 codes included for Acute MI, CHF/Heart Failure, Pneumonia, COPD, Total Knee Replacement, and Total Hip Replacement. 1. COPD 2. Total Knee Replacement 3. Total Hip Replacement Note: ICD-9 codes will display if the report date is =< 9/30/2015. Interoperability Resident s correct status of readmit and discharge status is now being included in PVI-14 transmission to COMs. Substitution Orders LTC has implemented logic to calculate and assign the Start Date/Time to be equal to the next scheduled administration date/time for substitution orders processed in the E-Link queue. The system will alert the user if a start date/time is not determinable (next administration date is not available) and require the manual entry of the Start Date/Time. The 2 following scenarios can exist and an alert message will display: Scheduled orders that have prior administration records, but no future administration scheduled or PRN medications. The last administered date/time will also be included in the message. Page 31 of 37
Scheduled orders that have no prior or future administration records because they may have never been administered. The Start Date/Time of the original order will also be included in the message. Pharmacy Centric Incoming Pharmacy Centric orders were failing prior to being transmitted to the E-Link queue when the Prescriber Order Number (PON) was not recognized by LTC. This has been corrected by allowing the system to ignore the PON if it is not recognized and import the message into LTC. The following criteria must be met: 1. If an Inbound message is received that contains a PON that the system does not recognize AND the Ignore Dispense Orders that didn t originate electronically from LTC check box is not selected in External Provider Setup, LTC will ignore the PON and the message will be transmitted to the E-Link queue with a message to create a new order. 2. If an Inbound message is received that contains a PON that the system does not recognize AND the Ignore Dispense Orders that didn t originate electronically from LTC check box is selected in External Provider Setup, LTC will not import the message. Important Note: If the LTC Pharmacy Interface Update (available August 12, 2016) was applied to your server, confirm E-link messages were correctly processed and audit any substituted orders using the Substitution History report for any potential incorrect substitutions. Page 32 of 37
Known Issues The below issue has been identified and will be addressed in a future release: Smart Charting The below run time error message occurs when accessing the Alternate Language Translation. This issue does not affect current setup or the displaying or answering buttons in the translated language. It only prevents the translation of language for new buttons. Alternate Language Setup Error Message Smart Charting > Setup > Alternate Language Translation Page 33 of 37
Monthly Interval Codes A new setup for Monthly Interval Codes will allow clinicians the ability to make the correct clinical decision when Monthly Interval Codes are setup with one of the last 4 days of the month. If a month does not contain the day setup, a new calendar feature consisting of 28, 29, 30, and 31 Day tabs allows for selection of the day the order will need to fire. Additional Education Resources CMS CMS IMPACT Act Downloads and Videos: https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/post-acute- Care-Quality-Initiatives/IMPACT-Act-of-2014/IMPACT-Act-Downloads-and-Videos.html CMS Quality Measures and the IMPACT Act presentation: https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/post-acute- Care-Quality-Initiatives/Downloads/2016-07-07-IMPACT-Act-Presentation.pdf AHT Resources Countdown to Impact: MDS Section GG Webinar https://webinars.on24.com/aht/mdssectiongg MDS Section GG Symposium Presentation http://new.myhealthtech.net/filephotos/1/symposium/symposium16/handouts/mds-section- GG.pdf Page 34 of 37
APPENDIX A 1. The following ICD-10 codes will be included in the numerator for Acute Myocardial Infarction (MI): I21.09 I21.11 I21.19 I21.29 I21.3 I21.4 2. The following ICD-10 codes will be included in the numerator for CHF/Heart Failure: I50.1 I50.20 I50.21 I50.22 I50.23 I50.30 I50.31 I50.32 I50.33 I50.40 I50.41 I50.42 I50.43 I50.9 I09.81 I11.0 I13.0 I13.2 3. the following ICD-10 codes will be included in the numerator for Pneumonia: A48.1 J11.0 J12.0 J12.1 J12.81 J12.89 Page 35 of 37
J12.9 J13 J14 J15.0 J15.1 J15.20 J15.211 J15.29 J15.3 J15.4 J15.5 J15.6 J15.7 J15.8 J15.9 J16.0 J16.8 J18.0 J18.1 J18.9 4. The following ICD-10 codes will be included in the numerator for COPD: J41.8 J42 J43.9 J44.0 J44.1 J44.9 J80 J96.00 J96.20 J96.90 R09.2 5. The following ICD-10 codes will be included in the numerator for Total Knee Replacement: 0SRC07Z 0SRC0JZ 0SRC0KZ Page 36 of 37
0SRD07Z 0SRD0JZ 0SRD0KZ 0SRT07Z 0SRT0JZ 0SRT0KZ 0SRU07Z 0SRU0JZ 0SRU0KZ 0SRV07Z 0SRV0JZ 0SRV0KZ 0SRW07Z 0SRW0JZ 0SRW0KZ 6. The following ICD-10 codes will be included in the numerator for Total Hip Replacement: 0SR90J9 0SR90JA 0SR90JZ 0SRB0J9 0SRB0JA 0SRB0JZ Page 37 of 37